Provider Demographics
NPI:1750611521
Name:MCINTOSH, KRISTY G (DNP, APRN)
Entity type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:G
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 OAKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42345-1812
Mailing Address - Country:US
Mailing Address - Phone:270-977-2703
Mailing Address - Fax:
Practice Address - Street 1:428 OAKVIEW DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42345-1812
Practice Address - Country:US
Practice Address - Phone:270-977-2703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000026334363LF0000X
AZ314836363LF0000X
CA95031543363LF0000X
CT0102629363LF0000X
DCNP500020818363LF0000X
IAA181130363LF0000X
FL11015377363LF0000X
MECNP241506363LF0000X
MDAC007023363LF0000X
MARN10014082363LF0000X
MN12164363LF0000X
NV881305363LF0000X
NJ26NJ01359300363LF0000X
NYF353686363LF0000X
KY3005985363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100205760Medicaid